{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"THIAGO N TEMAJ ROBERTSON","gend":0,"add":"DARRELL AND KIMBERLY KIDD--JD 067","city":"COLLINSVILLE","state":"VA","zip":240782967,"dob":"2019-06-25","age":"","mstatus":"","insh":10192488,"cliId":"","pno":5407950412,"cno":"","email":"","ename":"","eno":"","pphy":"STAMBAUGH, MERRIS A","ppno":"","pcpadd":"1107 Brookdale St","pcpcity":"Martinsville","pcpstate":"VA","pcpzip":241124501,"pcpcounty":"","pcpid":"P0117725","pcpname":"CARILION MEDICAL ASSOCIATES"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z38.00","P84","P96.1","P04.2","P29.11","L22","P03.1","P22.1","P81.9","P92.9","Z05.1","Z20.818","N47.8","Z41.2","L03.011","P83.30","B37.2","Z00.111","S30.810D","L03.90","R11.12","Q40.0","R11.10","Z79.899","R93.3","K21.9","R10.83","K31.3","R11.11","R09.81","J06.9","J01.90","A41.89","J10.01","Z62.21","E86.0","R79.82","R50.9","J10.1","D72.825","B97.89","J09.X2","R50.81","J11.1","H10.33","Z00.121","Z23","Z11.1","Z22.322","B95.62","J21.9","R05","Z09","R06.2","Z00.129","J45.909","J21.0","J39.9","J98.8","H66.92","Z20.828","B34.9","J20.9","J02.9","H66.43","R07.0","D50.9"],"date":["2019-06-29","2019-06-25","2019-08-06","2019-06-25","2019-06-25","2019-08-01","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-07-18","2019-07-18","2019-07-23","2019-07-23","2019-07-23","2019-08-02","2019-08-02","2020-02-11","2020-02-11","2019-08-03","2020-02-11","2019-08-06","2019-08-06","2019-08-06","2020-02-11","2019-08-17","2020-01-21","2019-08-24","2019-08-22","2020-04-24","2019-08-24","2019-08-24","2020-09-14","2019-08-24","2019-08-24","2019-08-24","2019-08-22","2019-08-22","2019-08-26","2019-09-10","2019-09-10","2020-07-31","2019-10-08","2019-10-08","2019-10-08","2020-02-11","2020-05-05","2020-04-24","2020-02-11","2020-07-31","2019-11-13","2019-12-12","2020-02-02","2020-02-11","2020-09-14","2020-03-03","2020-03-03","2020-03-03","2020-03-03","2020-04-01","2020-05-05","2020-07-31"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[[["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":""}]}]}